Organization
KENTUCKIANA GASTROENTEROLOGY PSC
Active
Organization
KENTUCKIANA GASTROENTEROLOGY PSC
Active
Other names
Tricounty Gastroenterology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANAND GUPTA MD (OWNER)
(502) 893-7744
Entity
Organization
Contact information
Practice address
1003 N DUPONT SQ # 9A, LOUISVILLE, KY 40207-4612
(502) 893-7744
(502) 893-7741
Mailing address
1003 N DUPONT SQ # 9A, LOUISVILLE, KY 40207-4612
(502) 893-7744
(502) 893-7741
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
33458
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24420293000
PASSPORT ADVANTAGE
KY
01
—
50015404
PASSPORT HEALTH
KY
05
—
64343585
—
KY
Enumeration date
03/19/2008
Last updated
03/06/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up